Maine’s Autism-Service Program Began in 2010. Federal Auditors Say a Statewide Post-Payment Review Never Happened.
Federal auditors found Maine had not performed a statewide post-payment review of Medicaid-funded RCS services since the program began in 2010. Maine DHHS agreed with the finding and committed to reviewing 30 Section 28 providers per year, with all providers projected to undergo review by 2029.
Maine DHHS Agreed It Failed to Provide Effective Oversight of Autism Services — Then Said Its Own Rules Were Outdated
Federal auditors concluded Maine made improper and potentially improper Medicaid payments because it failed to effectively oversee RCS services. Maine DHHS agreed—and records obtained by The Maine Mirror show the state acknowledged its Section 28 rules contained “outdated, ambiguous, and inaccurate provisions” and committed to replacing them.